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MAY-02-2007 08: 42

CAL TECH En:vironmental, LaboratoriesrO(/"\1 6814 Rosccrans AvellIlC. Paramount. (II 90n'·.' 1·161.2~~ T\:lcphone: (562) n2·2700 I:ax (5621172., IX'!

Cal Tech Environmental LaboratoriesCost Estimate

Table 1

Cost estimate Number:Date:Prepared By:

CTEl070501-0IMay 01,07Ml' Roobik Yaghoubi

"I"

Submitted To:

Project DescTiption:TAT Requirement:Stalt Datc:

Mr MaxRafiiDavid H Fell & Comp,my, InC,6009 Bandini BlvdCity of Commerce, CA 90040-2904TeL (323) 722-9992Fax (323) 722-6567

Facility Closet

2007

-:A-n""al:-y-:si-s--------cM-:-et,.-ho-d,...--·-·-MatIix ·--""U--n-:-it""'P-,i-ce-·---·

---_._._-...._---,,--Cleaning and Inspection(Walls & Floors)

Disposal and Removal

Sampling & Analysis

The above price includes:(Analysis to be detennine)

$ 23,000..00

$ 7,00000

$ 13,000.00

._---_.-_._-_.- .•--_._-

">1 A' 1'\ !)"nll All J) I () ( liS I OMI:.R SA! ISI·l\C nONTOTAL P.02

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CLOSURE COST ESTIMATE FOR DAVID H. FELL & CO.• INC.

Disposal of Waste Cost/unit # of Units Total Cost ($)Sweeps, slag, sludge - 181 drums $2/drum 181 drums $362.00Liquid hazardous waste - 2 drums $175/drum 2 drums $350.00Waste Acid - 2 drums $175/drum 2 drums $350.00Cupels/Crucibles - 6 drums .$100/drum 6 drums $600.00Solid waste generated from decontamination - 2drums $75/drum 2 drums $150.00Disposal and Transportation Cost for Rinsategenerated from decontamination of storage andtreatment areas, pressure washing two fork lifts, andbaghouse areas "Waste will be bulked $1.31/gal 550 gallons $720.50Bulking Rinsate Labor Cost $88.25/work hr 2 hr $176.50Tank Cost for Bulking the Rinsate $330/dav 1 dav $330.00Labor to move drums to Truck $50/hr 4 hr $200.00Transportation/Labor cost to disposal site Number ofTrucks Necessary: 3 $85/hr at10hrs for 3 trucks "Assume 500 Ib/drum for sweepsand 80,000 ib limit per Truck according to DOT 10 hrsl roundregulations $85/hr trip per truck $2,550.00

Disposal of EquipmentDisposal and Labor for Wiping the Equipment(screens, rod mills, ball mills, coolants) (scrap metal)"cost includes transportation $500lequipment 14 units $7,000.00Disposal and Labor for Wiping the 11 Furnaces(scrap metal) "cost includes transportation $500lequipment 11 furnaces $5,500.00Disposal and Labor for Diassembly and Wiping thePiping (scrap metal) $91/hr 10 hr $910.00Disposal and Labor for 2 baghouses (scrap metal)"cost includes transportation $500 per baghouse $1,000.00Debris Box for piping rental $5001 box 1 box $500.00Transportation of Piping to disposal siteNumber of Trucks Necessary: 1$85/hr for 3 hrs per round trip per truck $85/hr 3 hrs $255.00

Decontaminationl Cleaning (2 man team)Storage Areas S1 - S9 (mopping, sweeping) $2/ft 1303 sq ft. $2,606.00Treatment Areas including evaporator (mopping,sweeping) and vacuuming of 25 ft high walls $5/ft 1236 sq ft. $6,180.00Baghouse 1 and Baghouse 2 Area (mopping,sweepinq)Cost for steam cleaner rental for pressure washingtwo fork lifts $10/hr 3 hr $30.00Cost for pressure washing two forklifts and Labor fordecontaminating the storage areas, treatment areas,and baghouse areas $67.03/hr 3 hr $201.00

Sampling and AnalvsisConcrete Core Samples

3 Samples ( one sample from evaporator, S6 and S9) $87.9/hr 6.5 hr $571.00Concrete Core Samples Analysis wi QualityAssurance

6 (Analysis for zinc, copper, lead, nickel, and silver) $150/analvsis 6 analysis $900.00Soil Samples3 samples ( one sample from evaporator, S6 and S9)***6 ft hole per boring $76.5/hr 8.5 hr $650.25Soil Samples Analysis wi Quality Assurance

12 (Analysis for zinc, copper, lead, nickel, and silver) $150/analvsis 12 analvsis $1,800.00Rinsate Sample1 (Analysis for zinc, copper, lead and nickel) $156/hr 1 hr $156.00Rinsate Sample Analysis wi Quality Assurance2 (Analysis for zinc, coooer, lead and nickel) $150/analvsis 2 anaivsis $300.00Wipe Samples2 wipe samples, one for each fork lift $148.84/hr 1.5 hr $223.26Wipe Sample Analvsis wi Qualitv Assurance

4 (Analysis for zinc, copper, lead, nickel and silver) $150/analvsis 4 analvsis $600.00

Subtotal10% PE Cost20% Contingency

Total Estimate

$35,171 51$3,51715$7,73773

$46,426..39

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PERSONNEL TRAINING

Personnel training requirements cited in Title 22, Section66265 .. 16 CCR.. The purpose of these requirements is to ensurethat all f·acility personnel have adequat.e training to performtheir duties safely and in compliance with regulatory standards ..

Following i.s the training manual for :

Davi.d H.. Fell & Co .. , Inc ..6009 Bandini Blvd ..Commerce, CA90040

Ph: 323-722-9992

VI. TRAINING --,--------,

ERGONOMICSEYE SAFETYPERSINAL PROTECTION EQUIPMENT (PPE)RESPIRATOR126 F (TRANSPORTATION)

The following trainings are provided for the employees of David H Fell & Co, Inc by

CDMS:

.:. Right to Know, Emergency Response

.:. Hazardous Waste

.:. Eye Safety

.:. Lifting/Back Safety

.:. Forklift Operator

.:. Hearing Safety

This section contains David H Fell & Co, Inc.. 's written training program

The following items are maintained in the Training Binder of David H, Fell & Co, Inc'sCompliance Library:

.:. One copy of the most recent training

.:. Employee Sign-ofts

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David H Fell & Co , IncDecember 2003

6009 Bandin; BlvdBell CA 90040

HMMPVI.l

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( TRAINING PROGRAM

David H Fell & Co, Inc has a comprehensive training program. The purpose of thisprogram is to advise employees of the Hazard Communication Standard, their rightsto chemical hazard information, specific training with respect to hazards in theworkplace, regulatory compliance issues, appropriate job training and to satisfy

regulatory requirements. Training is provided to each new employee prior toexposure to hazards If new hazards are introduced to the workplace or if an

employee is moved to a new work area, then additional, appropriate training isprovided.

This program is reviewed on a regular basis by the manag\9ment of David H Fell &Co, Inc. to make sure that all hazards are identified and that appropriate training isconducted The plan is designed to provide at least annual training for each identifiedhazard.

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t. All employees shall be trained in the following:.:. Location and content of the Hazardous Material Management Plan.:. OSHA Hazard Communication.:. Hazardous material emergency response plan and procedures.:. Procedures for internal alarm/notification.:. Procedures for notification of external emergency response organizations

('--.

2.. New employees shall be trained in safety and emergency response by theirsupervisor prior to working with hazardous substances They will be expectedto participate in the next annual training session.

3. Chemical Handlers are trained in the following:.:. Safe methods for handling and storage of hazardous materials

.:. Proper use of personal protective equipment

.:. Locations and proper use of fire and spill control equip~~nt

.:. Spefific hazards of each chemical to which they may be exposed

David H Fell & Co , IncDecember 2003

6009 Bandini BlvdBell CA 90040

HMMP

PERSONNEL TRAINING

All personnel ar'e to be trained according to the provisionsof Hazardous Substances Information & Training Act, also known asthe "Right To Know" law. This provides a basic understanding ofthe chemical and other hazards present in the facility and how towork safely around them. The training manual is located in thev.ice president's office.

In addition, CCR Title 26 Di.vision 22 requires thatpersonnel are given the following training;

A. CONTENTS OF TRAINING MANUAL1) Understanding the contents of the contingency plan:

2) Procedures for using, inspecting, repairing and replacingfaci.lity emergency and monitoring equipment.

3) Cut off for automatic feed systems ..

4) Communications and/or alarm systems

5) Response to fires or explosions

6) Response to ground water contamination

7) Shut down of operations

B .. IMPLEMENTATION OF TRAINING REQUIREMENTS

1) Employees wi.l1 be trained in all aspects of' theaforementioned articles within 6 months of hiring. Inaddition they will not work in an unsupervised positionuntil such training has been completed ..

2) All personnel will bematerial

given an annual review ,of this--......., ........--.

1) Job titles of positions at thishazardous materi.aJs management ..

2) Job descriptions

3) Type and amount of training

4) Documentation of training

5) Retention of records

facility related to~'

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A. CONTENTS OF TRAINING MANUAL

1) Understanding the contents of the contingency plan:

a) Contingency Plan will be used as a manual for thisportion of the training

2) Procedures for using, inspecting, repalrl.ng and replacingfaci.lity emergency and monitoring equipment.

a) Fire extinguishers

i) use: use information sheet provided by the FireDepartment for training purposes

ii.) inspecti.on: check gage to see that needle isin the green space. a.lso check t.ag to see that thedate is cur"rent

ili) repair: fire extingulshers must be sent outto quallfied technicians for repair ..

b) 5 minute air pack

i) use: directions for use are contained in boxcontalning the unit.. Use instructions fortraining Pllrposes.

ii) inspection: the pack is to be inspectedmonthly for air bottle content by checking gage,flow by opening value briefly, and for wear ordegradation of the mask by viSllal i.nspection ..

iii) repair: air packs must be sent out toqualified technlcians for repair ..

0) Eye wash station

i) use: push handle to begin water flow. Holdeyes Open and flush for at least 15 D;lJnutes ..

'~iVJi"

i1) inspection: push handle to check water flow.

iii) repair:eye wash stations will be conduoted bymaintenance department.. Replaoement parts oan beobtained from safety supply stores ..

d) Fire blanket

i.) use: Wrap around burning object or person tosmother flames

ii) inspection: checkopening. Checkblanketvisual inspection

container for ease offor wear or degradation by

iii) repair: replace when necessary

3) Cut off for automatic feed systems ..

There are no automatic feed systems on site ..

4) Communicati,ons and/or alarm systems

A) Pager: Each company phone contains a page button.Push the button and speak into the mouthpiece.

B) Sprinkler: The sprinkler system is connected to thealarm company - Wells Fargo. If the sprinkler's are 'tripped, the alarm company will contact the Fire \.Department.

5) Response to fires or explosions

A) Secure the saf'ety of yourself and those around you

B) Call for help-locally by P.A. system and lor £'iredepartment-,911

C) If practical attempt to arrest the fire wi,th the useof a fi.re extinguisher or fire hose or fire blanket.

D) Cut off gas main if necessary

E) If practical remove flammable or compressed gasses

6) Response to ground water contamination

This is to be done by the emergency coordinator asfollows:If his/her assessment indicates that evacuation oflocal areas may be advisable, he/she shall immediatelynotify appropriate local authorities" He/she shall beavailable to help appropriate officials decide whetherlocal areas should be evacuated;

4. Emergency Response team members are trained in the following:.:. Procedures for shutdown of operations

.:. Procedures for using, maintaining and replacing facility emergency andmonitoring equipment

.:. All personnel are trained in emergency response procedures within sixmonths of hiring

5. The following records are maintained for all employees:

.:. Verification that training was completed by the employee All training will be

documented by each employee signing a Training Sign-Off sheet The

Training Sign-Off Sheets shall be filed in each employee's personnel file

.:. Description of the type and amount of introductory and continuing training

.:. Training records of former employees are retained for at least three years

.:. Documentation on and description of emergency response drills conductedat the facility

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6.. Refresher training will be conducted on an annual basis. If an employee

misses a session he/she is not allowed to work in an unsupervised positionuntil the training has been received.

David H Fell & Co. IncDecember 2003 6009 Bandin; Blvd

Bell CA 90040HMMP

He/she shall, inthe State Officeshall include:

every situation, immediately notifyof Emergency Services. The report

(

A) Name and telephone number of reporter"

B) Name and address of facility.

C) Tlme and type of incident (release to gl'oundwater) ..

D) Name and quantity of material(s) involved, tothe extent known"

E) The extent of injuries, if any.

F) The possi.ble hazards to human health or theenvironment.

7) Shut down of operations

A) Main gas valve; Located along the wall just to theeast of the main enterance.. Turn off valve close tothe ground using the wrench provided ..

B) Roasting oven; Located along west wall of samplingroom near the single pedestrian door.. There areindividual shut off valves for each burner (1 primary,2 secondary).. There is also a main valve for theentire uni.t. These valves can be closed by hand ..

C) Baghouse; Located outside along the north wall ofthe building.. Controls are located on the east wall ofthe sampling room, north of the roll UP door" Thereare two control panels (l for each baghouse) withon/off buttons ..

D) Compressor; Located outside along the north wall ofthe building.. The control panel consists of a timer,which when turned to zero turns off the unit.

E) Induction furnaces; Located along the west wall ofthe sampling room, north of the roaster furnace. Powerswi.tches are located on the left side of each unit.The controls for the water pumps and water cooler arealong the wall between the two furnaces ..

F) Gas f'urnaces; Located along the west and north wallsof the samp] ing room.. Each unit has a gas valve whichcan be closed by hand ..

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c( 8) ALTERNATIVE COORDINATOR: LARRY FELL:

Ph 323-722-9992

CONTACT NUMBER FOR THE HOSPITALCLOSEST TO THE FACILITYUS Health Works430 S GarfieldCommerce, CAPh: 323-722-.8481

Police Department: 91 J

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#3 SCREEN

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TITLE: rACllI1Y MAP DRAWN BY: RN SCALE: '," = 20' DAVID H, FELL & CO, lNC

DAVID H FELL AND COMPANY, INC DATE DRAWN: 08-09-06 APPROVED BY: -6009 BANDINI BLI/D.

SITE: 6009 BANDINI BLVD. F1LE:40S-00D9-02A IREV: COMMERCE, CA. 90040

CO'iMERCE, CALIFORNIA 90040 ) -.-J'-

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6009 SANOINI BLVD.

SITE: 6009 BANDII~: 8lViJ. flLE:405-oo09-o2Al REV: I COI,iMERCE, CA. 90040

COMl,I£RCE, C~llrORNIA 90040 i

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POWDER PROCESSINGCONTINUES

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APPROVED BY:TITLE: STANDARDDIZED PERMIT---------,r---------,---

SCALE: 1" = 30'

FILE:706-0086-01A REV:

DATE DRAWN: 08-07-06

DRAWN BY: RN

SITE: DAVID H FELL & COMPANY, INC.---~-+------_r_-

6009 BANDINI BLVD/ -------------------+------'----j(, COMMERCE. CALIFORNIA 90040-.-------------_.

DAVID H. FELL & CO, INC.

6009 SANDINI BLVD.COMMERCE, CA 90040

(323) 722-9992----'

08"/~1"0

#15 INDUCTION #16 INDUCTION #17 INDUCTION TILT

APPROVEO BY:

DRAWN BY: RN

TITLE: STANDARDDIZED PERMIT

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INDUCTION PUSHOUT FERNACES

INDUCTION FURNACES

SCALE: 1" = 30"----+----------+-_. ----------;

DAVID H. FELL & CO, INC

SITE: DAVID H FELL & COMPANY, INC

6009 SANDINI BLVD

COMMERCE, CALIFORNIA 90040"'.~L.(__

DATE DRAWN: 08-07-06

FILE: 706-0086--0 lA REV:

6009 BANDINI BLVD.COMMERCE, CA 90040

(323) 722-9992-----'

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#19 GAS FURNACE #20 GAS FURNACE #21 GAS FURNACE

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NATURAL GAS FURNACES

TITLE: STANDARDDIZED PERMIT APPROVED BY: SCALE: 1" = 30'

DRAWN BY: RN DAVID H FELL & CO, INC

SITE: DAVID H fELL & CDMPANY, INC DATE DRAWN: OS·-07-066009 BANDINI BLVD.

6009 SANDINI BLVD FILE: l06·-00S6-01A REV: COMMERCE, CA 90040,

1" COMMERCE, CALIFORNIA 90040 (323) 722-9992-..

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NATURAL GAS FURNACES

APPROVED BY:

DRAWN BY: RN

DATE DRAWN: 08-07 --06

FIlE: 706-0086--01A IREV:

6009 BANDINI BLVD_COMMERCE. CA 90040

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DAVID H. FELL AND COMPANY, INC

SI1E: 6009 8ANDINI 8LVD.

DATE DRAWN: 08-09-06

F1LE:405-0009-02A I REV:

APPROVED BY: -6009 BANDINI BLVD,

COMMERCE, CA. 90040

COMMERCE, CALIFORNIA 90040

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POWDER PROCESSINGCONTINUES

1------------------,,..--------..-------------------TITLE: STANDARDDIZED PERMIT SCALE: 1" ~ 30"

6009 BANOINI BLVD_COMMERCE, CA 90040

DAVID H_ FELL & CO, INC

FIlE:706-0086-01A IREV:

DRAWN BY: RN----------f---

DATE DRAWN: 08-07--06

6009 SANDINI BLVD

SITE: DAVID H FELL & COMPANY, INC

,( COMMERCE, CALIFORNIA 90040 (323) 722-9992" -'- .1..- -'- :...---'- ---'

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POWDER PROCESSINGCONTINUES

TITLE: STANDARDDIZED PERMIT APPROVED 8Y: SCALE: 1" = 30"--- -

DRAWN BY: RN DAVID H FELL & CO, INC

SITE: DAVID H FELL & COMPANY, INC DATE DRAWN: 08--07 -066009 BANOINI BLVD.

6009 SANDINI BLVD FILE: 706-00S6-01A IREV: COMMERCE, CA 90040

COMMERCE, CALIFORNIA 90040 (323) 722-9992-,

David H Fell & Company, Inc ..Standardized Permit

I _

PROCESS FLOW DIAGRAMfor LABORATORY

DAVID H. FELL & COMPANY, INC.6009 BANDINI BLVD.

COMMERCE, CA 90040

Waste Stream COda

A Sweeps 0011

B Wastewater 0011C Baghouse waste 0011

o Mixed aCld 1){)11 0002E Cuplc 008F Crucible 008G Sink slUdge 0011

H Filters 0011I Slag 0011

J Silver chip 0011

POWder/molt

PQwr:ler/meJI

POWder/melt

Melt

~AZARDOUSWAS!EJMATEFJAL ICONTAINING PRECISOUS METALSWASTE STREAMS A, B, C. D. E, F-r-I'MELlING PROCESS,

POWDER PROCESS ANDSAMPLED

l SITE LABORATORY,FOR ASSAY

OF PRECIOUS METAL

ISPEln ACID WAS~E, CUPE,LS &WASTE STREAM G CRUCjBLES _

WASTE STREAM J

-=r-- -=-r=~

ASTERECYCLING LWASJERECYCUNG 1OR WA,SIE DISPOSAL OR WASTE DISPOSAL,TO PERMITTED..TSDF TO PERMITTED--rSDp

-------

Coda Hazard Constituents Process

172toxle silver POWder/melt

491 toxic silver OV~porafor591 toxIc silver/copper

792 corrosivo silver Jab

181 toxic lead lab

181loxic lead lab

172to~lc silver

172 toxic silver

172foxic PM

17210xlc silver

....,~,.&\,6 ..&...&." .& ....u ..... _VUJ.pa.uJ • .a.u..... ,

Standardized Permit

PROCESS FLOW DIAGRAMfor' EVAPORATOR

DAVID H. FELL & COMPANY, INC.6009 BANDINI BLVD.

COMMERCE, CA 90040

L r- FABROOMr-L-.WASHWAT.ER

'i__ROASTER FUR··NACE 114. DRY

--'~--r-- r-----MEL1ROOM .. .EVAPORATORCOOLING WATER v -1 ...

C-sLUDGEWIPM.-.._-

MIXED WITH OTHER PM

CON':1HAC DU",

t=' EXPORIED ---,L.--.-._~._.__· -"..__~ J

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~ERSIZE I 1~_':INES·.,L_:~l.. L-

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OFFSlTERECYCLER

St2.IJdardized PermitT,

OVERAJ;.,L PROCESS FLOW DIAGRAMDAVID H. FELL & COMPANY, INC"

6009 BANDINI BLVD.COMMERCE. CA 90040

... r" .lLCUVDIO Il!1AA1'J.IDft WDGllS, t.OOS. =:J~ ROM EVAPORATOR" L . ]

ffi'lPJAl.'TO MnAl.'l7.AY$

----- ----'-". -,'

--+-- --(.ro BAGHOUSOTOBAGHO@

" ROASTER FURNACE~ .. (THER.\1AL OXIDATION)

SIZE REDUCTION

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, BAll OR ROD MILL(MATERIAL IS GROlJND)..

GAS OR INDUCTIONFURNACE

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PROCESS FLOW DIAGRAM for BAGHOUSES iDAVID H. FELL & COMPANY, INC.

6009 BANDINI BLVD.COMMERCE, CA 90040

DUCTS FROM GAS FURNACES#14, #19, #20 &#21

DUCTS FROM INDUCTION FURNACES:.

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rAGHOUSE WASTEI~55-GAL. METAL DRUMWASTE STREAM H

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California Environmental Protection Agency Department of Toxic Substances Control

STANDARDIZED PERMIT NOTIFICATION FOR EXISTING OR PROPOSED HAZARDOUS WASTE FACILITIES

IX. REQUIRED ATTACHMENTS

x

x

x

x

A.

B.

D..

A scaled map to show the facility location including major freeways and cross streets

A scaled diagram to show th,) facility site/plot map indicating the buildings, parking lots,and landscape areas.

A scaled diagram to show the locations of hazardous waste management units to bepermitted under the standardized permit..

A unit description information sheet for each of the hazardous waste storage and/ortreatment units that will be under the Standardized Permit

(,

X. OWNER CERTIFICATION

"I certify that the unit or units described in these documents will meet the eligibility and operatingrequirements of state statutes and regulations for the standardized permit tier.. I understand that I amrequired to provide financial assurance for this facility, and I am required to conduct a corrective actionprogram as part of the standardized permit application to be submitted to the Department of ToxicSubstances Contro'"

"I certify under penalty of law that this document and all attachments were prepared under my direction orsupervision in accordance with a system designed to assure that qualified personnel properly gather andevaluate the information submitted., Based on my inquiry of the person or persons who will manage thesystem or those directly responsible for gathering the infolmation, the information is, to the best of myknOWledge and belief, true, accurate and complete" I am aware that there are significant penalties forsubmitting false information, including the possibility of fines and imprisonment for known violations"Larry Fell PresidentName(Prin\91 ;rypeJ /7 Title

~~(- ._,,/,e,,(~._.__. ,__.._._.._( ;, to 7 .SignatUre Date Signed

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XL OPERATOR CERllFICATION

"I certify that the unit 01' units described in these documents will meet the eligibility and operatingrequirements of state statutes and regulations for the standardized permit tier. I understand that I amrequired to provide financial assurance for tl1is facility, and I am required to conduct a corrective actionprogram as part of the standardized permit application to be submitted to the Department of ToxicSubstances Control."

"I certify under penalty of law that this document and all attachments were prepared under my direction orsupervision in accordance with a system designed to assure that qualified personnel properly gather andevaluate the information submitted Based on my inquiry of the person or persons who will manage thesystem or those directly responsible fO!' gathering the information, the information is, to the best of myknowledge and b,elief, true, accurate and complete.. I am aware that there are significant penalties forsubmitting false information, including the possibility of fines and imprisonment for known violations."Larry Fell President

Na~ne (Print orZYl'~L_.< .. Title J~'// ./ ;' I <../

Sign~ure ----...--..--.-.---.---- - ..--·-·----oate Signed -_...

:aHfof'nia Environmental Pr otection Agency Depar tment of Toxic Snbstances Control

XII.. LAND OWNER CERTIFICAIION.

I [We] certify under penalty oflaw that I [we] am [are] familiar with the operations conducted by

j)tlJt» (-I. fi;u ,e,. ;T/V<-- [Names of Operators] of PAy.'17 (-/ fZ:-"",-I.-' Co ]:"~C.lNameof

Facility] at 000« @A~~t~1 131.-0'';> eo "1",~" <-<3 elf 900 -{ <!J [address] on the

plOperty owned by SO/'-/JJL, HAvC;G: ,rf?/2ST~ [owner's name 01 his/her designee],

that I [we] have reviewed this permit application, and to the best on my [our:] knowledge, information, aild belief,

fiud it to be true and accur ate. I [We] understand this application is being snbmitted for the purpose of obtaining

a Standar dized Permit to oper ate a hazardous waste storage and treatment facility ..

I IWe] understand fully that I [we], as the land owner, located thereon, am [are] jointly and sever ally respousible

for compliance with applicable provisions of the California Health and Safety Code, its implementing regulations

and any permit issued pursuant to the applications of these regulations..:.;

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l.SoNPJUl lf~tJb·;;:;;" L!!pd~£Name (print or type) Title

~~~Signature

e( t>A V \0 li6[~(\) Pi>~kName (print or type) Title,·

bfi'~- ---=D:-'a;-"f=<.<fs-f-/-"-><(,

)TSC 1093A (02/2005) DRAFf Page 8

lOOi2J [9888 ON X~/X1J 80' Ll 3111 800<:/66/l0

DEPARTMENT OF TOXIC SUBSTANCES CONTRO\,STANDARDizeD "E;RM'T opeRATION PLAN INSTRUCTIONS

c01/15/2008 15:36 FAX 510 540 3837 OT~C/86 rk616Y

PAGE 67

@002/002

(

PREPAREDNESS AND PREVENTION

I hereby certify the following:

1.. I haye read and understood Sections 66264.30 through66264 ..35, 66264.37,and 66270. 14(b}(8)and(b)(9), Title 22 of theCalifClmia Code of Regulations (Pr-eparedness and Prevention).

? The orocedures and eauioment for mv facility will be inr.nmnJl"noe with these rso;"lations.. My facilltv will be desianed,con~trocted,maintained and operated' to min'imize the possibility ofa fire, explosion, or any unplanned sudden or non-sudden releaseof hazardous waste or hazardous waste constitutes to air, soil, orsurface water which could threaten human health or theenvironment..

3. I understand that this certification is an integral part of the formalacclieation for a Standardized Permit for my facility and that anyfalsification is equivalent to a false statement under Health andSafety Coda Section 25191 and may be grounds for a p rmitdenis~!

OTSC 11'76 16/20.06) DRAF1

Goolg [,888 ON X~!Xll 80: ~~ 3n1800G!GG!~0

DgPARTMENT OF TOXIC SUBSl'ANCES CON1'ROLSTANDARDIZED PERMIT OPERATION PLAN INSTRUCTIONS

MAN~FEST SYSTEM, RECORD KEEPING AND REPORTING

I hereby certify the following:

PAGE 59

(

1 I have read and understood sections 66264,70 through 66264.78,TiUe 22, of the California Code of Regulations on Manifest System,Relcord Keeping and Reporting requirements" I will have or prepare,for my facility, the required records and reports to be in compliancewith all applicable regulations,

2, I certify that a copy of the required records or reports will bemaintained at my facility and will be available to local, state or federalagencies upon request. I ur,derstand that ttlis certification is anintegral part of the formal application for a standardized permit for myfacility" And that any falsification is equivalent to a false statementunder Health and Safety Code section 25191 and may be groundsfOI' a permit denial.

3" My facility is (or is not) an offsite facility" I have sent a notice toge,nerators that may use my facility's services and I have theappropriate perrnit(s) (section 66264"12(b)),, A copy of my notice iskept in my facility, c

, /Jl)_I: II, (Jf {;PISignature

I~I-_O?

Date

('-00 '1 -!!1rJ6111( I dl'l(/~"'. ee, (,-<) f! 1'6 7Facility Name and Address f

D1SC1176 (8/2000) DRAFT

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80016 [9888 ON X8!Xll 80: LL 3fll 800UZULO

DEPARTMENT OF T(!)XIC SUBSTANCES CONTROLSTANDARDIZED PEI'MIT OPERATION PLAN INSTRUCTIONS

SECURITY

PAGE 53

I hereby certify the following:

1. I have read and understood Sections 6626414, and 66270 14(b)(4l,Tillie 22 of the California Code of Regulations (Security)..

2.. The security procedures and equipment for my facility will be incompliance with these regulations

3. I understand that this certification is an integral part of the formalapplication for a Standardized Permit for my facility and that anyfalsification is equivalent to a false statement under Health andSafety Code Section 25191 and may be grounds for a pennit denial.

W\A K,._.. f\A FITPrinted Name Date

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0ep c; cr__/~IJ')('J/ J fDh'V' f.4.~C,( C,j '5') ~·a 7Faciiity Address

DTSC1176 (812006) DRAFT

POO ItJ [,989 ON x~/xll 80: II 3nl 800c:lC:c:110

DEPARTMENT' OF TOXIC SUBSTANCES CONTROLSTANDARDIZED PERMIT OPERATION PLAN INSTRUCTIONS PAGE 56

FACILITY LOCATION, SEISMIC AND PRECIPITATION INFORMATION

I hereby certify the following:

1 I have read and understood Sections 66264.25 and 66270 .. 14(b)(11),Title 22, of the California Code of Regulations on Facility location,Seismic and Precipitation Information ..

2. I certify that the nearest fault to my facility is b.,w,.,~, PL,,:,. F1di andis _.__ feet (miles) away my facility.

3. I certify that my facility is not in the '1 OO-year flood plain; otherwise Iwill provide the information required under section 66270 .. 14(b)(11 )(D) ..

4. I understand that this certification is an integral part of the formalapplication for a Standardized Permit for my facility and that anyfalsification is equivalent to a false statement under Health andSafety Code Section 25191 and may be grounds for a permit denial

Ct> (f) ({~ q I5.d tJ (')llj, I.LL'J?"1'11,",L~«(C·l... 1)· (dJ 7Facility Address i

DISC ii76 (8/2006) DRAFT

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